Department of Dermatology, Huashan Hospital, Fudan University, Shanghai, China.
Clin Exp Dermatol. 2009 Dec;34(8):e636-9. doi: 10.1111/j.1365-2230.2009.03354.x.
A 68-year-old Chinese woman presented with generalized reticulated dark-brown hyperpigmentation on the trunk, face and limbs, oral Wickham's striae, sparse scalp hair and dark-red reticulated streaks on the occiput of the head and on the neck, some dark-red to violaceous papules on the face, scalp and flanks, light-yellow, deep-seated papules on the palms and soles, and small porcelain-white papules on the dorsal and lateral fingers. The histological features were consistent with the diagnosis of lichen planus (LP). To our knowledge, LP-induced generalized reticulated hyperpigmentation is very rare and this is the first report of the clinical features on the fingers, palms and soles.
一位 68 岁的中国女性，躯干部、面部和四肢出现弥漫性网状棕褐色色素沉着，口腔 Wickham 纹，头皮毛发稀疏，头部枕部和颈部可见暗红色网状条纹，面部、头皮和侧腹部可见暗红色至紫红色丘疹，手掌和足底呈浅黄色、深在性丘疹，背部和侧手指可见小瓷白色丘疹。组织学特征符合扁平苔藓（LP）的诊断。据我们所知，LP 引起的弥漫性网状色素沉着非常罕见，这是首例关于手指、手掌和足底的临床特征报道。
